Provider Demographics
NPI:1689391377
Name:MW STAFFING
Entity Type:Organization
Organization Name:MW STAFFING
Other - Org Name:MW STAFFING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONMORREYA
Authorized Official - Middle Name:ASIANNA
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-299-8744
Mailing Address - Street 1:104 E PAULDING RD
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39437-2224
Mailing Address - Country:US
Mailing Address - Phone:601-299-8744
Mailing Address - Fax:
Practice Address - Street 1:104 E PAULDING RD
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MS
Practice Address - Zip Code:39437-2224
Practice Address - Country:US
Practice Address - Phone:601-299-8744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251E00000XAgenciesHome Health